The measurement of nursing home quality: Multilevel confirmatory factor analysis of panel data

    Authors

    N. J. Zhang;T. T. H. Wan

    Comments

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    Abbreviated Journal Title

    J. Med. Syst.

    Keywords

    nursing home; quality; multilevel confirmatory factor analysis; CARE QUALITY; DEFICIENCIES; FACILITIES; OUTCOMES; Health Care Sciences & Services; Medical Informatics

    Abstract

    This study examined the validity of a measurement model of nursing home quality by using multilevel confirmatory factor analysis. Based on Mullan and Harrington's (2001) facility-level quality measurement model, a two-level analysis (facility and state) of the measurement model were performed. Two research questions were asked: (1) Can the measurement model developed at the facility-level be applied to state-level nursing home quality measurement? (2) Is the measurement model of nursing home quality stable over time? Panel data of 1997 and 2001, from the national OSCAR database, were used to test the assumptions. The results show that the state-level measurement model fits the data better than the facility-level model does. When the indicator "assessment" was removed from the state-level measurement model, a better-fitted measurement model was found. The two-level measurement model is relatively stable over time, demonstrating the construct validity of this measurement model.

    Journal Title

    Journal of Medical Systems

    Volume

    29

    Issue/Number

    4

    Publication Date

    1-1-2005

    Document Type

    Article

    Language

    English

    First Page

    401

    Last Page

    411

    WOS Identifier

    WOS:000231562100009

    ISSN

    0148-5598

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